Mixing Two Insulins. Insulin syringe Alcohol pad Wash your hands with warm water and soap. Dry your hands.

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1 Mixing Two Insulins Since your doctor has ordered 2 kinds of insulin that can be mixed, you need to learn how to mix the two insulins together in one syringe. This way you can give yourself one injection or shot instead of two. Some insulins, like glargine (Lantus ) and detemer (Levemir ), cannot be mixed. Other insulins (NovoLog 70/30, Humalog 75/25 ) are already a combination of two types of insulin and should not be mixed. Getting Ready Gather these supplies: Insulins: and Insulin syringe Alcohol pad Wash your hands with warm water and soap. Dry your hands. What to Do 1. Check the labels on the insulin bottles to make sure you have the correct insulin. Regular, lispro (Humalog ) and aspart (NovoLog ) insulin should be clear. NPH insulin should be cloudy. 2. Check the expiration date on all insulin bottles. Do not use expired insulin. Throw away any insulin left in the bottle 30 days after you first open the bottle. 1

2 Mélanger deux insulines Puisque le médecin vous a prescrit 2 sortes d insuline pouvant être mélangées, vous devez apprendre à les mélanger dans une seule seringue. De cette manière, vous pourrez vous faire votre injection en une seule fois plutôt qu en deux. Certaines insulines, comme glargine (Lantus ) et detemer (Levemir ), ne peuvent pas être mélangées. D autres insulines (NovoLog 70/30, Humalog 75/25 ), sont déjà un mélange de deux types d insuline et ne doivent pas être mélangées. Soyez prêt(e) Regroupez ces éléments nécessaire: Insulines : et Seringue à insuline Compresse d alcool Lavez-vous les mains à l eau chaude avec du savon. Séchez-vous les mains. Ce qu il faut faire 1. Vérifiez les étiquettes sur les flacons d insuline pour vous assurer que vous utilisez les bonnes insulines. L insuline Regular, lispro (Humalog ) et aspart (NovoLog ) doit être transparente. L insuline NPH doit être trouble. 2. Vérifiez la date de péremption sur tous les flacons d insuline. N utilisez pas d insuline dont la date a expiré. Jetez toute insuline qui est restée pendant 30 jours dans un flacon après la première ouverture. Mixing Two Insulins. French. 1

3 3. Gently roll the bottle of cloudy insulin between your hands until it is mixed, and there is no powder on the bottom of the bottle. Do not shake the insulin bottle because this can cause air bubbles. 4. Wipe o the tops of the insulin bottles with an alcohol pad then do not touch the top of the bottles. 5. Take the syringe out of its package or remove the plastic cap. Needle Cap Cap Needle Barrel of syringe Plunger 6. Take o the needle cap and place it on the table. 2

4 3. Faites délicatement rouler le flacon d insuline trouble entre vos mains jusqu à ce qu elle soit bien mélangée et qu il ne reste pas de poudre au fond du flacon. Ne secouez pas le flacon d insuline, cela peut former des bulles d air. 4. Nettoyez le dessus des flacons d insuline avec une compresse imbibée d alcool, puis ne touchez plus le sommet des flacons. 5. Sortez la seringue de son emballage ou retirez le capuchon en plastique. Capuchon de l aiguille Capuchon Aiguille Corps de seringue Piston 6. Retirez le capuchon de l aiguille et placez-le sur la table. Mixing Two Insulins. French. 2

5 7. Pull the plunger of the syringe down to the number of units of cloudy insulin you need. The syringe will fill with air. The syringe has small lines and numbers. The space between each line on the syringe is one unit. If you are using a 100-unit syringe, the space between each line is 2 units. Move the plunger so the dark end closest to the needle matches the number of units you need. Plunger 8. Carefully put the needle through the rubber stopper of the bottle with cloudy insulin. Push the air into the bottle by pushing the plunger all the way down. Putting air in the bottle makes it easier to get the insulin out of the bottle. 9. Take the needle out of the bottle with cloudy insulin. The syringe will be empty. Set the bottle of cloudy insulin aside. 10. Pull the plunger of the syringe down to the number of units of clear insulin needed to fill with air. 3

6 7. Tirez le piston de la seringue vers le bas jusqu à atteindre le nombre d unités d insuline trouble nécessaires. La seringue va se remplir d air. Le corps de la seringue comporte des petites lignes et des chires. L espace entre chaque ligne de la seringue est une unité. Si vous utilisez une seringue de 100 unités, l espace entre chaque ligne représente 2 unités. Tirez le piston afin que l extrémité sombre près de l aiguille corresponde au nombre d unités dont vous avez besoin. Piston 8. Passez délicatement l aiguille à travers le bouchon en caoutchouc du flacon d insuline trouble. Chassez l air dans le flacon en poussant le piston tout en bas. Introduire de l air dans le flacon facilite le prélèvement de l insuline du flacon. 9. Retirez l aiguille du flacon d insuline trouble. La seringue sera vide. Mettez de côté le flacon d insuline trouble. 10. Tirez le piston de la seringue vers le bas jusqu au nombre d unités d insuline transparente dont vous avez besoin afin de la remplir d air. Mixing Two Insulins. French. 3

7 11. Carefully, put the needle into the rubber stopper of bottle with clear insulin, and push the air into the bottle. 12. Turn the bottle of clear insulin upside down with the syringe still in place. Support the needle in the bottle so it does not bend. 13. Pull the plunger down to the number of units of clear insulin you need. 4

8 11. Avec soin, introduisez l aiguille dans le bouchon en caoutchouc du flacon d insuline transparente et chassez l air dans le flacon. 12. Retournez le flacon d insuline transparente tout en maintenant la seringue. Maintenez l aiguille dans le flacon afin qu elle ne se plie pas. 13. Tirez le piston vers le bas jusqu au nombre d unités d insuline transparente dont vous avez besoin. Mixing Two Insulins. French. 4

9 14. Check for air bubbles in the syringe. Air bubbles will not hurt you, but will take the place of insulin. This could cause you to get less insulin than you need because there is no insulin in the air bubble. If you see air bubbles: Tap the syringe firmly with your fingertip to move the bubbles to the top of the syringe. Push the plunger up a few units until the air bubbles go back into the insulin bottle. Pull down on the plunger and fill the syringe with the correct amount of insulin. Check again for air bubbles. 15. Take the needle out of the bottle with clear insulin. 16. Put the needle into the rubber stopper of the bottle with cloudy insulin. Be careful not to push any clear insulin into the bottle of cloudy insulin. 17. Add the number of units of clear and cloudy insulins together to give you the total number of units. Units of Clear Insulin + Units of Cloudy Insulin = Total Number of Units 5

10 14. Vérifiez la présence de bulles d air dans la seringue. Les bulles d air ne vous feront pas de mal, mais prendront la place de l insuline. De ce fait, vous aurez moins d insuline que prévu, car les bulles d air n en contiennent pas. Si vous voyez des bulles d air : Tapotez fermement la seringue avec les extrémités de vos doigts pour déplacer les bulles d air vers le haut de la seringue. Poussez le piston vers le haut de quelques unités jusqu à ce que les bulles d air retournent dans le flacon d insuline. Tirez le piston vers le bas et remplissez la seringue avec la bonne quantité d insuline. Vérifiez à nouveau la présence de bulles d air. 15. Retirez l aiguille du flacon d insuline transparente. 16. Introduisez l aiguille dans le bouchon en caoutchouc du flacon d insuline trouble. Veillez à ne pas pousser d insuline transparente dans le flacon d insuline trouble. 17. Ajoutez le nombre d unités d insuline transparente et le nombre d unités d insuline trouble pour obtenir le nombre total d unités. Unités d insuline transparente + Unités d insuline trouble = Nombre total d unités Mixing Two Insulins. French. 5

11 18. Slowly pull the plunger back to the total number of units needed. This lets the cloudy insulin fill the syringe. If you get more units of cloudy insulin in the syringe than are needed, do not push any insulin back into the bottle. Remove the syringe and throw it into your needle disposal box. Get a new syringe and start over. 19. Take the needle out of the bottle with cloudy insulin. Giving the Insulin 1. Clean the site with an alcohol pad. Let the alcohol dry. If you have just showered or bathed, you do not need to clean the site again. 2. Pinch and hold the skin of the site with one hand. Hold the syringe like a dart or pencil as shown in the picture. 3. Put the needle straight into the skin at a 90 degree angle. Use a quick motion. The quicker you put the needle in, the less it hurts. Push the needle all the way into the skin. 4. Let go of the pinch of skin unless you are told not to. 6

12 18. Tirez doucement le piston vers l arrière jusqu au nombre total d unités requises. L insuline trouble remplit la seringue. S il y a trop d unités d insuline trouble que celles nécessaires, ne repoussez pas l insuline dans le flacon. Retirez la seringue et jetez-la dans votre container à aiguilles. Prenez une nouvelle seringue et recommencez. 19. Sortez l aiguille du flacon d insuline trouble. Administration de l insuline 1. Nettoyez le site avec un coton d alcool. Laissez sécher l alcool. Si vous venez de vous doucher ou de prendre un bain, vous n avez pas besoin de nettoyer le site à nouveau. 2. Pincez et maintenez la peau du site avec une main. Tenez la seringue comme une fléchette ou un pinceau, comme montré sur le schéma 3. Placez l aiguille droite dans la peau à un angle de 90 degrés. Faites un mouvement rapide. Plus vous faites vite rentrer l aiguille, moins cela fait mal. Poussez l aiguille sur toute sa longueur dans la peau. 4. Relâchez la peau à moins qu on vous dise autrement. Mixing Two Insulins. French. 6

13 5. Push the plunger all the way down until all the insulin is in. Wait 5 seconds. 6. Remove the needle. Put your finger over the site and apply pressure for 30 to 60 seconds. 7. Check the site for any redness, bleeding or bruising. Put a band-aid on the site if there is bleeding. Clean Up the Supplies 1. Put the used syringe and needle into a needle disposal box. You can use a heavy punctureresistant plastic container with a lid. Do not recap the needle. Throw away all other supplies in the trash. 2. Be sure to store new and used syringes and needles out of the reach of children and pets. 3. Wash your hands again. Talk to your doctor or nurse if you have any questions or concerns /2011 Health Information Translations Unless otherwise stated, user may print or download information from for personal, non-commercial use only. The medical information found on this website should not be used in place of a consultation with your doctor or other health care provider. You should always seek the advice of your doctor or other qualified health care provider before you start or stop any treatment or with any questions you may have about a medical condition. The Ohio State University Medical Center, Mount Carmel Health System, OhioHealth and Nationwide Children s Hospital are not responsible for injuries or damages you may incur as a result of your stopping medical treatment or your failure to obtain medical treatment. 7

14 5. Poussez le piston jusqu en bas pour administrer toute l insuline. Attendez 5 secondes. 6. Retirez l aiguille. Mettez votre doigt sur le site et appliquez une pression pendant 30 à 60 secondes. 7. Vérifier si le site n est pas rouge, s il saigne ou s il y a un bleu. Placez un pansement sur le site si vous constatez des saignements. Nettoyage des éléments 1. Placez la seringue utilisée dans un container à aiguilles. Vous pouvez utiliser un container en plastique résistant aux perforations avec un couvercle. Ne pas replacer le capuchon sur l aiguille. Jetez tous les autres éléments à la poubelle. 2. Assurez-vous de stocker les seringues neuves et les seringues utilisées hors de la portée des enfants et de vos animaux. 3. Lavez-vous les mains à nouveau. Parlez à votre médecin ou à votre infirmière si vous avez des questions ou des inquiétudes /2011 Health Information Translations Unless otherwise stated, user may print or download information from for personal, non-commercial use only. The medical information found on this website should not be used in place of a consultation with your doctor or other health care provider. You should always seek the advice of your doctor or other qualified health care provider before you start or stop any treatment or with any questions you may have about a medical condition. The Ohio State University Medical Center, Mount Carmel Health System, OhioHealth and Nationwide Children s Hospital are not responsible for injuries or damages you may incur as a result of your stopping medical treatment or your failure to obtain medical treatment. Mixing Two Insulins. French. 7

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